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Helena Estêvão, Miguel Félix" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Juliana" "apellidos" => "Roda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Susana" "apellidos" => "Nobre" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Jorge" "apellidos" => "Pires" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "M." "apellidos" => "Helena Estêvão" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 4 => array:3 [ "nombre" => "Miguel" "apellidos" => "Félix" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Serviço de Medicina Interna Complementar de Pediatria, Hospital Pediátrico de Coimbra, Centro Hospitalar de Coimbra / Resident, specialist training in Paediatrics, Hospital Pediátrico de Coimbra, Centro Hospitalar de Coimbra" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar. Chefe de Serviço de Pneumologia, Serviço de Pneumologia, Hospital Geral, Centro Hospitalar de Coimbra / Head, Pulmonology Service, Pulmonology Unit, Hospital Geral, Centro Hospitalar de Coimbra" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Directora do Serviço de Medicina. Chefe de Serviço de Pediatria, Hospital Pediátrico de Coimbra, Centro Hospitalar de Coimbra / Head, Paediatrics Unit, Hospital Pediátrico de Coimbra, Centro Hospitalar de Coimbra" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Assistente Graduado Hospitalar de Pediatria, Serviço de Medicina, Hospital Pediátrico de Coimbra, Centro Hospitalar de Coimbra / Paediatrics Consultant and Specialist, Serviço de Medicina, Hospital Pediátrico de Coimbra, Centro Hospitalar de Coimbra" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Serviço de Medicina, Hospital Pediátrico de Coimbra, Centro Hospitalar de Coimbra, Directora de serviço/Director: Dr ª Mª Helena Estevão, Avenida Bissaya Barreto 3000-076 Coimbra." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Corpos estranhos na via aérea: Experiência de um quarto de século" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-18" "fechaAceptado" => "2008-08-01" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159807" "palabras" => array:5 [ 0 => "Foreign body" 1 => "aspiration" 2 => "paediatrics" 3 => "bronchoscopy" 4 => "airway" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159808" "palabras" => array:5 [ 0 => "Corpo estranho" 1 => "aspiração" 2 => "pediatria" 3 => "broncoscopia" 4 => "vias aéreas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foreign body (FB) aspiration in children is a common and potentially dangerous situation that can be associated to significant morbidity.</p> <span class="elsevierStyleSectionTitle">Aims</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To characterise the FB aspiration in children cases at the Hospital Pediátrico de Coimbra over a twenty five year period.</p> <span class="elsevierStyleSectionTitle">Study design</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">This study was based on the retrospective analysis of all clinical files of children who were diagnosed with foreign body aspiration January 1982 to December 2006.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Foreign body aspiration was confirmed in 316 children. The incidence was higher during the first twelve years of the study (64%). Around two thirds of the children were male (206) and the sample was aged 6 months to 12 years. Most children were younger than 3 years old (83%). In 88% of cases a choking episode was noticed while an early diagnosis (<24<span class="elsevierStyleHsp" style=""></span>h) was obtained in only 39%. The most frequently described signs and symptoms were unilateral diminished breath sounds and cough. In 7% of cases no symptoms were described. The most frequently recorded radiology finding was focal hyperinflation (42%) and in 22% the chest x-ray was unremarkable. Treatment was exclusively by rigid bronchoscopy. Complications related to the bronchoscopy removal were described in 22 cases. Most aspirated FB were of vegetable origin (75%). The majority of FB was lodged in the right bronchial tree. Postremoval flexible bronchoscopy was performed in 116 cases.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">An unnoticed FB aspiration and absence of and/or non-specific initial symptoms may contribute to a late diagnosis. The significant reduction in the number of cases over the later years may be related to the implementation of preventive strategies.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Introdução</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A aspiração de corpos estranhos (CE) em idade pediátrica é uma situação comum e potencialmente grave, que pode estar associada a morbilidade significativa.</p> <span class="elsevierStyleSectionTitle">Objectivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Descrever as características dos casos de aspiração de CE para a via aérea, em crianças, no Hospital Pediátrico de Coimbra, num período de 25 anos.</p> <span class="elsevierStyleSectionTitle">Material e métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Análise retrospectiva dos processos clínicos das crianças com o diagnóstico de aspi-ração de CE, durante o período de Janeiro de 1982 a Dezembro de 2006.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O diagnóstico de aspiração de CE foi confirmado em 316 crianças, com uma maior incidência nos primeiros 12 anos do período de estudo (64%). Cerca de 2/3 das crianças eram do sexo masculino (206), com idades compreendidas entre os 6 meses e os 12 anos. A maioria (83%) tinha idade inferior a 3 anos. Em 88% dos casos havia história de engasgamento, tendo o diagnóstico sido realizado precocemente (< 24<span class="elsevierStyleHsp" style=""></span>h) em 39%. Os sinais e sintomas mais frequentemente encontrados foram: assimetria do murmúrio vesicular e tosse. Constatou-se ausência de sintomas em 7% dos casos. A alteração radiológica encontrada mais frequentemente foi hiperinsuflação localizada (41%); em 22% não foi descrita alteração da radiografia de tórax. O tratamento foi efectuado exclusivamente por broncoscopia rígida. Foram descritos 22 casos de complicações da extracção. Os CE encontrados foram, predominantemente, de origem vegetal (75%). A localização preferencial dos CE foi à direita. Foi realizada broncofibroscopia (BF) de revisão em 116 casos.</p> <span class="elsevierStyleSectionTitle">Conclusão</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Um episódio de aspiração de CE, despercebido e/ou subestimado, bem como a ausência inicial de sintomas e/ou a sua inespecificidade podem contribuir para um diagnóstico tardio. Houve uma notória redução dos casos de aspiração de CE na segunda metade da série, que poderá constituir um reflexo das estratégias de prevenção.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Year/Month | Html | Total | |
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2024 November | 9 | 6 | 15 |
2024 October | 27 | 37 | 64 |
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2024 August | 42 | 38 | 80 |
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2024 May | 20 | 41 | 61 |
2024 April | 22 | 27 | 49 |
2024 March | 19 | 20 | 39 |
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2023 April | 10 | 8 | 18 |